| Stephen Benjamin Moore, PT, DPT | |
|
3344 N Futrall Dr, Fayetteville, AR 72703-4057 | |
| (479) 582-7213 | |
| (479) 521-1843 |
| Full Name | Stephen Benjamin Moore |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 1 Years |
| Location | 3344 N Futrall Dr, Fayetteville, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780481606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5609 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Associates Of Northwest Arkansas, Pa | 3678542073 | 107 |
| Provider Name | Medical Associates Of Northwest Arkansas, Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801847827 PECOS PAC ID: 3678542073 Enrollment ID: O20041001000671 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Benjamin Moore, PT, DPT Po Box 1523, Fayetteville, AR 72702-1523 Ph: (479) 571-6038 | Stephen Benjamin Moore, PT, DPT 3344 N Futrall Dr, Fayetteville, AR 72703-4057 Ph: (479) 582-7213 |
Karen Hairston, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2474 E Joyce Blvd, Suite 2, Fayetteville, AR 72703 Phone: 479-521-8326 Fax: 479-521-5439 | |
Fernando Castillo, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3383 N Mana Ct Ste 201, Fayetteville, AR 72703 Phone: 479-571-6780 | |
Kymbrly Hannah, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2474 E Joyce Blvd, Suite 2, Fayetteville, AR 72703 Phone: 479-521-8326 Fax: 479-521-5439 | |
Ms. Heather Kristine Vaughn, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1125 N College Ave, Fayetteville, AR 72703 Phone: 479-713-8630 Fax: 479-713-8639 | |
Megan Landry Wilson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1923 E Joyce Blvd, Fayetteville, AR 72703 Phone: 479-442-7220 | |
Travis Alexander, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 2668 E Citizens Dr Ste 5, Fayetteville, AR 72703 Phone: 479-442-7473 | |
Winston Tyler Futrell, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2668 E Citizens Dr Ste 5, Fayetteville, AR 72703 Phone: 479-595-0711 |